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陈怀宇, 申东翔, 王少华, 王晓怀. 乙型肝炎病毒垂直传播在人早期胚胎感染的检测[J]. 中国公共卫生, 2002, 18(4): 417-418. DOI: 10.11847/zgggws2002-18-04-23
引用本文: 陈怀宇, 申东翔, 王少华, 王晓怀. 乙型肝炎病毒垂直传播在人早期胚胎感染的检测[J]. 中国公共卫生, 2002, 18(4): 417-418. DOI: 10.11847/zgggws2002-18-04-23
CHEN Huai-yu, SHEN Dong-xiang, WANG Shao-hua, . Detection on Presence of Hepatitis B Virus in Human Early Embryo Infected by Vertical Transmission[J]. Chinese Journal of Public Health, 2002, 18(4): 417-418. DOI: 10.11847/zgggws2002-18-04-23
Citation: CHEN Huai-yu, SHEN Dong-xiang, WANG Shao-hua, . Detection on Presence of Hepatitis B Virus in Human Early Embryo Infected by Vertical Transmission[J]. Chinese Journal of Public Health, 2002, 18(4): 417-418. DOI: 10.11847/zgggws2002-18-04-23

乙型肝炎病毒垂直传播在人早期胚胎感染的检测

Detection on Presence of Hepatitis B Virus in Human Early Embryo Infected by Vertical Transmission

  • 摘要: 目的 探讨HBV的垂直传播途径,分析母亲血清的HBV复制水平与早期胚胎感染HBV的关系.方法 对31例进行人工流产的HBsAg阳性的早孕期母亲(同时父亲HBsAg阴性)用PCR法检测了血清及胚胎组织的HBVDNA,并以相应的子宫内膜组织作对照.血清HBV标志物用Elisa方法进行检测.结果 共检测出胚胎组织HBVDNA阳性而相应的子宫内膜组织阴性的7例(22.58%),其中20例母血HBeAg和/或HBV DNA阳性的胚胎组织检出5例(25.00%),11例母血HBeAg和HBV DNA均阴性的胚胎组织检测出2例(18.18%),无显著性差异(P>0.05).结论 HBV的感染可以发生在胚胎早期,提示一部分HBV的垂直传播可能是经受精卵携带病毒DNA途径实现的,并且这种传播可能与母血HBV的复制水平无密切相关,即使母亲血清HBeAg和HBV DNA均阴性,其胚胎也存在着经受精卵途径感染的可能.加强对此类人群的免疫预防可能是今后减少传染源的关键.

     

    Abstract: Objective To explore the exact mechanism of the vertical transmission of hepatitis B virus (HBV ).Methods Polymerese chain reaction technique was used to detect the HBV DNA in human early embryo(age< 7weeks);in which the serum hepatitis B surface antigen(HBsAg) was positive in mothers and negative in fathers.Serum HBV DNA of the mothers were detected by the same technique.Results HBV DNA was positive in 7 human early embryos(22.58%)of 31 cases,HBV DNA was positive in 5 early embryos,among 20 mothers whose serum hepatitis Be antigen(HBeAg) and/or HBV DNA was positive (25;00%).HBV DNA was detected in 2 early embryos,among 11 mothers whose serum HBeAg and HBV DNA were negative(18.18%).The positive rate of HBV DNA in the two groups was not significant(P>0.05 ).Conclusion The infection of HBV happened in the early embryo.It provided the possiblity of HBV infecting embryo via the germ line.This can evenly happened in those mothers without replicated markers of HBV in serum.

     

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